PURPOSE: It is well-known that runners are commonly injured, yet rates of
running injuries reported in the literature vary widely, ranging from 19% to 92%.
This discrepancy in reported injury rates may be due to several factors, including
injury definition, the timeline used when reporting injuries, and whether the reporting
method is self-report or reported by medical professionals. Therefore, the purpose
of this study was to compare self-reported injury rates to medically-reported injury
rates in a group of Division-I cross country runners. METHODS: Questionnaires
regarding pain, injury, and training status were completed at the beginning and end
of the 2015 and 2016 seasons. Additionally, injury reports were obtained from the
team’s certified athletic trainer (ATC). Data were coded as 1) self-reported only; 2)
ATC-reported only; 3) self-reported and ATC-reported. Only injuries that occurred
within the past year were considered in the analysis. RESULTS: In 2015, 12 athletes
participated, with 38 reported injuries. Of those, 26 were self-reported (68.4%), 6
were ATC-reported (15.8%), and 6 were both self-reported and ATC-reported (15.8%).
In 2016, 9 athletes participated, with 22 reported injuries. Of those, 13 were selfreported
(59.1%), 8 were ATC-reported (36.4%), and 1 was both self-reported and
ATC-reported (4.5%). Additionally, about half of the reported injuries (47% in 2015;
55% in 2016) led to missed or modified training. Of those injuries that led to missed
or modified training, the majority (88% in 2015 and 91% in 2016) were self-reported
only. CONCLUSIONS: The results indicate a marked difference in self-reported
injury rates compared with medically-reported injury rates. This demonstrates that the
method of reporting injuries may be a contributing factor to the wide range of reported
injuries in the literature. Thus, caution should be taken when considering injury rates
reported in the literature, as the method of reporting injuries may be influential.
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